Provider Demographics
NPI:1639680564
Name:KLENDER, ERIN (NP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:KLENDER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12106 WILLINGDON RD
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-5520
Mailing Address - Country:US
Mailing Address - Phone:805-895-3147
Mailing Address - Fax:
Practice Address - Street 1:903 NORTHEAST DR STE 102
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7437
Practice Address - Country:US
Practice Address - Phone:704-237-0752
Practice Address - Fax:510-830-1430
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCKLEN-PM4OT7363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health